Psychological Well-Being of Older Adults With Cognitive Deterioration During Quarantine: Preliminary Results From the GeroCovid Initiative

被引：6

作者：

Coin, Alessandra ^{[1
]}

Devita, Maria ^{[2
]}

Trevisan, Caterina ^{[1
]}

Biasin, Francesca ^{[1
]}

Terziotti, Camilla ^{[1
]}

Del Signore, Susanna ^{[3
]}

Fumagalli, Stefano ^{[4
]}

Gareri, Pietro ^{[5
]}

Malara, Alba ^{[6
]}

Mossello, Enrico ^{[4
]}

Volpato, Stefano ^{[7
]}

Monzani, Fabio ^{[8
]}

Bellelli, Giuseppe ^{[9
]}

Zia, Gianluca ^{[3
]}

Ranhoff, Anette Hylen ^{[10
,11
]}

Incalzi, Raffaele Antonelli ^{[12
,13
]}

机构：

[1] Univ Padua, Azienda Osped Univ Padova, Dept Med DIMED, Geriatr Div, Padua, Italy

[2] Univ Padua, Dept Gen Psychol DPG, Padua, Italy

[3] Bluecompanion Ltd, London, England

[4] Univ Firenze, Dept Expt & Clin Med, Geriatr Intens Care Unit, Florence, Italy

[5] ASP Catanzaro, Ctr Cognit Disorders & Dementia Catanzaro Lido, Catanzaro, Italy

[6] Sci Comm Natl Assoc Third Age Residences ANASTE C, Lamezia Terme, Italy

[7] Univ Ferrara, Dept Med Sci, Ferrara, Italy

[8] Univ Pisa, Dept Clin & Expt Med, Geriatr Unit, Pisa, Italy

[9] Univ Milano Bicocca, San Gerardo Hosp, Sch Med & Surg, Acute Geriatr Unit, Monza, Italy

[10] Dept Clin Sci, Oslo, Norway

[11] Univ Bergen, Diakonhjemmet Hosp, Oslo, Norway

[12] Campus Biomed Univ, Unit Geriatr, Dept Med, Rome, Italy

[13] Teaching Hosp, Rome, Italy

来源：

FRONTIERS IN MEDICINE | 2021年 / 8卷

关键词：

COVID-19; dementia; psychological well-being; older adults; distress; DEMENTIA; STRESS; PEOPLE;

D O I：

10.3389/fmed.2021.715294

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives: The spread of COVID-19 has undeniably unsettled the social, psychological and emotional life of the entire world population. Particular attention should be paid to older adults with dementia, given their vulnerability to emotional stressors. The aim of this retrospective study is to evaluate the impact of the first wave quarantine related to Covid-19 on psychological and affective well-being of older adults with mild/major neurocognitive disorders and of their caregivers. Methods: Data on participants' assessment before the quarantine (PREQ) were retrospectively collected. Patients with Mild Cognitive Impairment (MCI) or dementia were recruited from different Centers for Cognitive Decline and Dementia in Italy. During the quarantine, psychological and affective well-being were evaluated by phone through the administrations of scales measuring anxiety and depression (DASS), perceived stress (PSS), coping strategies (COPE) and the caregivers' burden (CBI). The scales' results were compared across participants' PREQ cognitive level (Mini Mental State Examination, MMSE >= 25, 23-24, and <= 22) with multiple linear regression models. Results: The sample included 168 patients (64% women) with a mean age of 79 +/- 7 years. After adjusting for potential confounders, more severe cognitive impairment was independently associated with higher DASS and PSS score, and poorer coping strategies (p < 0.05). Cognitive functioning was also inversely associated with CBI. Conclusions: The impact of the quarantine on the psycho-affective well-being of individuals with MCI and dementia and on caregivers' burden varies according to the PREQ cognitive functioning with more severely impaired patients having worse outcomes.

引用

页数：8

共 37 条

[11] The psychological and cognitive impact of Covid-19 on individuals with neurocognitive impairments: research topics and remote intervention proposals [J].